Organization Active NPI

T. Gordon Handy DDS P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Winston-Salem, NC
National Provider Identifier
1720231822
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6568 Issued in NC
Legal business name
T. GORDON HANDY DDS P.A.
Practice address
1700 S. Hawthorne Rd.
Winston-Salem, NC 27103-4016
Phone
(336) 765-7870
Fax
(336) 765-3830
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
T. Gordon Handy, Jr
Title
President
Phone
(336) 765-7870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 6568 NC Primary

Addresses

Primary practice location

1700 S. Hawthorne Rd.
Winston-Salem, NC 27103-4016

Mailing address

1700 S. Hawthorne Rd.
Winston-Salem, NC 27103-4016
Phone (336) 765-7870

Other identifiers 3

IdentifierTypeStateIssuer
1466591OtherUNITED CONCORIDA
8993547MedicaidNC
93547OtherNCBCBS

National Provider Directory

National Provider Directory

Locations

1700 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 596-5631

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1720231822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S. HAWTHORNE RD.",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271034016",
            "telephone_number": "336-765-7870",
            "fax_number": "336-765-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S. HAWTHORNE RD.",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271034016",
            "telephone_number": "336-765-7870",
            "fax_number": "336-765-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. GORDON HANDY DDS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "HANDY, JR",
        "authorized_official_first_name": "T.",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-765-7870"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "6568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORIDA",
            "identifier": "1466591",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993547",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "93547",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.